Designing Measures for Managing the Effectiveness for Integrated Service Delivery

Health and social services are increasingly produced in cooperation among several specialized organizations. This has increased the importance of service integration in the sector. While the literature acknowledges the need for performance measurement addressing outcomes and effectiveness of service integration, not enough is known about applying such measurement practices. This paper examines the design of a performance measurement system to support the effectiveness management of an integrated service delivery. The research identifies three aspects of effectiveness – community, client and network level. Empirical examination reveals that success factors for design of measures for integrated service delivery include consensus on the targets, coordination and fluent cooperation among actors in the network. The paper contributes to performance measurement literature by illustrating how the design of system level measurement is carried out in practice and analyzing the lessons learned.

Quasi-experimental Study of the Effectiveness of an Integrated Service Delivery Network for the Frail Elderly

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1353/cja.2004.0038 ◽

2004 ◽

Vol 23 (3) ◽

pp. 229-243 ◽

Cited By ~ 31

Author(s):

André Tourigny ◽

Pierre J. Durand ◽

Lucie Bonin ◽

Réjean Hébert ◽

Louis Rochette

Keyword(s):

Experimental Study ◽

Service Delivery ◽

Social Services ◽

Frail Elderly ◽

Cox Regression ◽

Control Group ◽

Positive Effects ◽

Quasi Experimental ◽

ABSTRACTThe aim of this study was to examine the effectiveness of a new, integrated service delivery (ISD) network of health and social services for frail elderly living in a semi-urban community. A quasi-experimental study was conducted from 1997 to 2000, with measures taken before implementation (T0) and every 12 months after implementation for a 3-year period (T1, T2, T3); 482 people aged 75 years or older from 2 communities, 272 in the experimental and 210 in the control group, were followed. Analyses were conducted using parametric and non-parametric statistics, a generalized linear model, and Cox regression for survival analysis. A declining trend in institutionalization was observed and the desire to be institutionalized was lower in the study group. When absence of deterioration on follow-up was analysed in terms of the level of autonomy, the ISD network produced positive effects on the frailer clientele at T1, effects that tended to be maintained at T2. In regard to caregivers' burden, the ISD network seemed to have been effective, with caregivers' burden being less at T1 and T2. The ISD network did not have a marked effect on the utilization of services. The ISD network did, in fact, produce some effects that should be seen as important for the elderly population.

Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

PLoS ONE ◽

10.1371/journal.pone.0146694 ◽

2016 ◽

Vol 11 (1) ◽

pp. e0146694 ◽

Cited By ~ 14

Author(s):

Susannah H. Mayhew ◽

George B. Ploubidis ◽

Andy Sloggett ◽

Kathryn Church ◽

Carol D. Obure ◽

...

Keyword(s):

Reproductive Health ◽

Service Delivery ◽

The Impact ◽

Elder Abuse in Korea: It's Characteristics and a Need of Integrated Service Delivery for Them

Locality and Globality Korean Journal of Social Sciences ◽

10.33071/ssricb.34.2.201012.63 ◽

2010 ◽

Vol 34 (2) ◽

pp. 63-92

Author(s):

김신열

Keyword(s):

Service Delivery ◽

Elder Abuse ◽

The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data

International Journal of Integrated Care ◽

10.5334/ijic.229 ◽

2008 ◽

Vol 8 (1) ◽

Cited By ~ 13

Author(s):

Réjean Hébert ◽

Marie-France Dubois ◽

Michel Raïche ◽

Nicole Dubuc

Keyword(s):

Service Delivery ◽

Preliminary Report ◽

Baseline Data ◽

Delivery Network ◽

Offender-Based Information Sharing: Using a Consent-Driven System to Promote Integrated Service Delivery

Information Technology and the Criminal Justice System ◽

10.4135/9781452225708.n9 ◽

2012 ◽

pp. 195-220 ◽

Cited By ~ 1

Author(s):

Kathleen R. Snavely ◽

Faye S. Taxman ◽

Stuart Gordon

Keyword(s):

Service Delivery ◽

Information Sharing ◽

Driven System ◽

Transferring knowledge to influence 'small p' policy development: examples from the implementation of integrated service delivery systems

Research Evaluation ◽

10.1093/rev/4.1.31 ◽

1994 ◽

Vol 4 (1) ◽

pp. 31-36

Author(s):

M. P. Shea ◽

J. H. Lewko

Keyword(s):

Service Delivery ◽

Policy Development ◽

Delivery Systems ◽

Service Delivery Systems ◽

Towards Integrated Service Delivery for Primary Health Care: Can Programs Meet People's Lives?

Australian Journal of Primary Health ◽

10.1071/py00033 ◽

2000 ◽

Vol 6 (4) ◽

pp. 43

Author(s):

Vivian Lin

Keyword(s):

Health Care ◽

Primary Health Care ◽

Service Delivery ◽

Health Care Policy ◽

Unit Cost ◽

Policy Research ◽

Evidence Base ◽

Primary Health ◽

The primary health care sector faces a number of challenges. Some of these are in the form of persistent problems which include, inter alia, health disparities in resources and outcomes, a fragmented health system, issues of power with respect to priority setting and resource allocation, and a poor information and evidence base with which to allocate resources and evaluate outcomes. These problems are perennially accompanied by a gap between the rhetoric of policy and the reality of implementation. Neo-liberal reforms present a series of challenges to primary health, with the introduction of unit-cost funding, competitive tendering and increased user pays. Changing epidemiological patterns, the rise of evidence-based medicine, and new information and communication technology all question accepted methods of practice. Eroding community confidence in government and professionals, and the growing polarisation of society are also cause for concern. Three areas for development in primary health care policy and practice may provide the keys for dealing with these challenges. These are, first, the development of integrated service delivery models, which move away from narrowly defined single purpose programs delivered by one provider. Second, the development of innovative policy and managerial tools that support the objectives of primary health care while addressing the concerns of policy makers. Finally, the development of a strategic research and development agenda that effectively links policy, research and practice.